CHARLES SOUTHERLY
NPI 1275209488
Community Health Worker in Paw Paw, WV

Active since August 18, 2021
1165 PIN OAK RD, PAW PAW, WV 25434(304) 822-0390 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Southerly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES SOUTHERLY (NPI 1275209488) is an individual community health worker in Paw Paw, West Virginia and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1275209488
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameCHARLES SOUTHERLY
Location Address1165 PIN OAK RDPaw Paw, WV 25434-3252
Mailing Address1165 Pin Oak RdPaw Paw, WV 25434-3252 · (304) 822-0390
Sole ProprietorYes
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
NPI 1275209488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
1165 PIN OAK RD, Paw Paw, WV 25434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Southerly's NPI number?

The NPI number for Charles Southerly is 1275209488. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Charles Southerly located?

Charles Southerly practices at 1165 Pin Oak Rd, Paw Paw, WV 25434. The listed phone number is (304) 822-0390.

What is Charles Southerly's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Charles Southerly was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.